{
"Npi": {
"NPI": "1114308459",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "M. RENDA, RD, CDN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7 PARK LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEVITTOWN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11756-1115",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-672-5927",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2415 JERUSALEM AVE",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "NORTH BELLMORE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11710-1870",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-672-5927",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/12/2015",
"LastUpdateDate": "06/12/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RENDA",
"AuthorizedOfficialFirstName": "MARION",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "REGISTERED DIETITIAN, CDN",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.D., CDN",
"AuthorizedOfficialTelephoneNumber": "516-672-5927",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "005185-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}